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1407278831
MISTY MICHELLE MCINTYRE GOODSELL
WEST JORDAN, UT
NPI
1407278831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 6399706-3501)
Enumeration Date
2014-01-21
Last Update Date
2014-01-21
Business Address
-- MISTY MICHELLE MCINTYRE GOODSELL LCSW
8537 S REDWOOD RD SUITE A
WEST JORDAN, UT 84088-5713
Phone number: 801-694-1830
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Mailing Address
-- MISTY MICHELLE MCINTYRE GOODSELL LCSW
8537 S REDWOOD RD SUITE A
WEST JORDAN, UT 84088-5713
Phone number: 801-694-1830
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